Does prolapse cause pain during intercourse?
Some women with pelvic organ prolapse experience pain, discomfort, or a sense of obstruction during intercourse. This can result from pressure, vaginal dryness, or changes in anatomy caused by the prolapse.
Detailed Medical Explanation
Painful intercourse (dyspareunia) can be a direct result of prolapse as organs push into the vagina, reducing space or causing sensitive tissue to be exposed. Vaginal dryness or irritation may also contribute, especially in postmenopausal women. However, not all women with prolapse have pain during sex—many remain sexually active with little discomfort. Management options include lubricants, pelvic floor exercises, and treatment for vaginal atrophy. (NHS: Prolapse symptoms)
Clinical Context
Painful intercourse can impact relationships and quality of life. Sensitive, open discussion with your healthcare provider is encouraged to tailor treatment and address any concerns.
Evidence-Based Approaches
Holistic management is recommended, considering both physical and emotional wellbeing. NICE guidelines support conservative and, if needed, surgical interventions. (NICE NG123)